KHALEEL QUSSOUS (NPI# 1114473832) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1114473832 |
| Entity Type | Individual |
| Full Name | KHALEEL QUSSOUS |
| Credential | M.D. |
| Practice Address |
1500 E. Medical Center Drive L2200 Uh South Ann Arbor MI 48109-5212 |
| Mailing Address |
1150 W Medical Center Dr Ann Arbor MI 48109-0600 |
| Practice Telephone | 7349361755 |
| Mailing Telephone | 7349364200 |
| Enumeration Date | 2016-09-01 |
| Last Update Date | 2019-07-30 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2080P0214X |
Pediatrics Specialization: Pediatric Pulmonology |
4301117316 | MI | Allopathic & Osteopathic Physicians |
| Street Address |
1500 E. MEDICAL CENTER DRIVE L2200 UH SOUTH |
| City | ANN ARBOR |
| State | MI |
| Zip Code | 48109-5212 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1700808862 | Pratima Sharma | Internal Medicine | 1500 E. Medical Center Drive, 3rd Floor Taubman Ctr Recp D, Ann Arbor, MI 48109-5362 | 2006-07-24 |
| 1033737747 | Jeremy X Figueroa-ortiz | Dentist | 1500 E. Medical Center Drive, Ann Arbor, MI 48109 | 2020-07-09 |
| 1407472822 | Nicholas Saleem Raja | Obstetrics & Gynecology | 1500 E. Medical Center Drive, L5003 Uh South, Ann Arbor, MI 48109-5276 | 2020-06-22 |
| 1285250142 | Kathryn Krukowski | Student in an Organized Health Care Education/Training Program | 1500 E. Medical Center Drive, 1h 247 Uh, Ann Arbor, MI 48109-5048 | 2020-06-17 |
| 1437772449 | Michael M Bair | Student in an Organized Health Care Education/Training Program | 1500 E. Medical Center Drive, Uh B1530, Spc 5030, Ann Arbor, MI 48109-5030 | 2020-05-26 |
| 1457974834 | Joy Obayemi | Student in an Organized Health Care Education/Training Program | 1500 E. Medical Center Drive, 2920 Taubman Center, Spc 5331, Ann Arbor, MI 48109-5331 | 2020-05-20 |
| 1720601149 | Connor Mitchell Smith | Student in an Organized Health Care Education/Training Program | 1500 E. Medical Center Drive, 1903 Taubman Center, Spc 5312, Ann Arbor, MI 48109 | 2020-05-20 |
| 1164083762 | Alexander Morrison-nozik | Student in an Organized Health Care Education/Training Program | 1500 E. Medical Center Drive, Ann Arbor, MI 48109 | 2019-06-25 |
| 1235790163 | Sandy Tadros | Student in an Organized Health Care Education/Training Program | 1500 E. Medical Center Drive, 1h241 Uh, Ann Arbor, MI 48109-5048 | 2019-06-21 |
| 1558920710 | Nicole Rigas Naidoo | Dentist | 1500 E. Medical Center Drive, Medinn C213, Spc 5831, Ann Arbor, MI 48109-5831 | 2019-06-11 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1558987024 | Albert Byun | Student in an Organized Health Care Education/Training Program | 1500 E.medical Center Dr., 1h247, Ann Arbor, MI 48109 | 2020-06-22 |
| 1851914931 | Nadine Ibrahim | Student in an Organized Health Care Education/Training Program | 1500 E. Medical Center Drive, Spc 5312, Taubman Center, 1st Floor, Room 1903, Ann Arbor, MI 48109 | 2020-05-22 |
| 1568083350 | Tucker Zimmer | Student in an Organized Health Care Education/Training Program | 1500 E Medical Center Dr, Uh South F-6245, Ann Arbor, MI 48109 | 2020-05-03 |
| 1144841099 | Jessica Moore Meves | Student in an Organized Health Care Education/Training Program | 1500 E Medical Center Drive, Uh South F-6245, Ann Arbor, MI 48109 | 2020-05-01 |
| 1710522297 | Xiaoyuan Hu | Specialist/Technologist | Obl 2150, 1402 Washington Hts, Ann Arbor, MI 48109 | 2019-11-08 |
| 1376192401 | Regina Kay Freeman | Clinical Nurse Specialist | 4726 Cardiovascular Center, 1500 E Medical Center Dr, Ann Arbor, MI 48109 | 2019-09-11 |
| 1477114155 | William Philip Saunders IIi | Student in an Organized Health Care Education/Training Program | 300 N Ingalls Building, Rm Ni4co6, Ann Arbor, MI 48109 | 2019-06-24 |
| 1093290447 | Teresa H Lyden | Speech-Language Pathologist | 1500 E. Medical Center Dr., Spc 5312, 1904 Tc, Otolaryngology-head and Neck Surgery, Ann Arbor, MI 48109 | 2018-10-02 |
| 1649755091 | Anna Grace Hardenbergh | Speech-Language Pathologist | 1500 E. Medical Center Drive Tc 1904, Otolaryngology Head and Neck Surgery, Ann Arbor, MI 48109 | 2018-10-02 |
| 1548754609 | Amy Wu | Pediatrics | 1500 East Medical Center Drive., Medical Professional Bldg. D-3238, Ann Arbor, MI 48109 | 2018-06-21 |
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| Taxonomy Code | 2080P0214X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Pediatrics |
| Specialization | Pediatric Pulmonology |
| A pediatrician dedicated to the prevention and treatment of all respiratory diseases affecting infants, children and young adults. This specialist is knowledgeable about the growth and development of the lung, assessment of respiratory function in infants and children, and experienced in a variety of invasive and noninvasive diagnostic techniques. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Pediatrics, 2007. http://www.abp.org/. American Osteopathic Board of Pediatrics, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Pediatrics. Board certification for Doctors of Osteopathy (DOs) was provided by the American Osteopathic Board of Pediatrics. The Certification is no longer offered. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1255863692 | Nada Youssef | Pediatrics | 1500 E Medical Center Dr., Ann Arbor, MI 48109-5212 | 2017-04-03 |
| 1629001169 | Regents of The University of Michigan | Pediatrics | 1500 East Medical Center Drive, Mott Hospiatl, Ann Arbor, MI 48109-0243 | 2006-07-08 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1538386909 | Genesys Regional Medical Center | Pediatrics | 4642 Genesys Parkway, Grand Blanc, MI 48439-8067 | 2007-04-19 |
| 1942279815 | Douglas Homnick | Pediatrics | 3299 Gull Rd, Kalamazoo, MI 49048-1281 | 2006-03-14 |
| 1285266155 | Msu Health Care Inc | Pediatrics | 4660 S Hagadorn Rd Ste 405, East Lansing, MI 48823-6819 | 2020-02-10 |
| 1285980193 | Johanna Astrid Zea-hernandez | Pediatrics | 35 Michigan St Ne, Suite 3003, Grand Rapids, MI 49503-2514 | 2012-07-29 |
| 1093014284 | Hovig K Artinian | Pediatrics | 35 Michigan St Ne Ste 3003, Grand Rapids, MI 49503 | 2011-03-28 |
| 1194907204 | Genesys Regional Medical Center | Pediatrics | 4642 Genesys Pkwy, Grand Blanc, MI 48439-8067 | 2007-11-30 |
| 1356474530 | Mariam M Ischander | Pediatrics | 1000 Oakland Dr, Kalamazoo, MI 49008-1282 | 2007-03-14 |
| 1326059031 | Richard Edward Honicky | Pediatrics | 1540 Lake Lansing Rd, Suite 107, Lansing, MI 48912-3756 | 2006-08-10 |
| 1184693418 | John H Marks | Pediatrics | 1000 Oakland Dr, Kalamazoo, MI 49008-1282 | 2006-03-17 |
| 1720054737 | John N Schuen | Pediatrics | 35 Michigan Ne, Suite 3003, Grand Rapids, MI 49503 | 2006-02-28 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.